NCLEX : Endocrine: Adrenal questions with correct answers

NCLEX : Endocrine: Adrenalthe nurse is admitting a client dx with primary adrenal cortex insufficiency (addisons disease). which clinical manifestations should the nurse expect to assess? 1. moon face, buffalo hump, and hyperglycemia 2. hirsutism, fever, and irritability 3. bronze pigmentation, hypotension, and anorexia 4. tachycardia, bulging eyes, and goiter - correct answer 3 bronze pigmentation, hypotension, and anorexia: 1 and 2 are symptoms of cushings (hirsutism is hair growth where it normally does not occur, such as facial hair on women). 4 is with thyroid d/o's the nurse is developing a plan of care for the client dx with acquired immunodeficiency syndrome (AIDS) who has developed an infection in the adrenal gland. which client problem is highest priority? 1. altered body image 2. activity intolerance 3. impaired coping 4. fluid volume defecit - correct answer fluid volume defecit: dehydration can lead to circulatory impairment and hyperkalemia the nurse is planning the care of a client dx with addisions disease. which intervention should be included? 1. administer steroid medications 2. place the client on fluid restriction 3. provide frequent stimulation 4. consult physical therapy for gait training - correct answer administer steroid medications: clients dx with addisons disease have adrenal gland hypofunction. the hormones normally produced by the gland must be replaced. steroids and androgens are produced by the adrenal gland the client is admitted to rule out cushings syndrome. which lab tests should the nurse anticipate being ordered? 1. plasma drug levels of quinidine, digoxin, and hydralazine